HEADREST INC. (NPI# 1831373356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831373356 |
| Entity Type | Organization |
| Organization Name | HEADREST INC. |
| Practice Address |
141 Mascoma St Lebanon NH 03766 |
| Mailing Address |
14 Church Street Lebanon NH 03766 |
| Practice Telephone | 6034484872 |
| Practice Fax Number | 6034481829 |
| Mailing Telephone | 6034484872 |
| Mailing Fax Number | 6034481829 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | MR. ERIC HARBECK JR. (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 6034484872 |
| Authorized Official Credential | CRSW, B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3098319 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 251 Elm St, Claremont, NH 037434940 | 6036909080 | 6037279353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407266828 | Headrest Inc. | Substance Abuse Rehabilitation Facility | 14 Church St, Lebanon, NH 03766 | 2014-05-07 |
| Street Address |
141 MASCOMA ST |
| City | LEBANON |
| State | NH |
| Zip Code | 03766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740276757 | Susan E Mooney | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2005-09-26 |
| 1245667211 | Lucy F Chapin | Advanced Practice Midwife | 141 Mascoma St, Lebanon, NH 03766-2647 | 2013-10-04 |
| 1275580847 | Laurie Foster | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2006-05-28 |
| 1093761892 | Alice Peck Day Memorial Hospital | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766 | 2006-05-25 |
| 1013969005 | Suzanne Davey Shipman | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2006-05-17 |
| 1508831207 | Kathryn M Vargo | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523059 | Sommer Mae Green | Counselor | 4216 Hunting Hawk Dr, Lebanon, OH 45036-7040 | 2020-09-16 |
| 1174169817 | Kacie Elizabeth Giffin | Counselor | 3883 Keever Pass, Lebanon, OH 45036-8837 | 2019-11-18 |
| 1184271264 | Jessica Stacy | Counselor | 15 N Corwin St, Lebanon, OH 45036-2001 | 2019-08-22 |
| 1063078855 | Southwest Regional Counseling Service Inc | Counselor | 1114 E Main St Ste 4, Lebanon, VA 24266-5014 | 2019-05-16 |
| 1508420357 | Ascension Therapy Services, LLC | Counselor | 1545 Shaker Run Blvd, Lebanon, OH 45036-4004 | 2019-04-26 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1063980779 | William Neil Caldwell | Counselor | 241 N Depot St, Lebanon, KY 40033-1419 | 2018-11-12 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1720575616 | Nadine Alicia Cambridge | Counselor | 777 Columbus Ave Ste 7-d, Lebanon, OH 45036-1684 | 2018-04-17 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.